Health insurance doesn’t need to be complicated. At HAP, we pride ourselves on offering straightforward, comprehensive care. Learn more about our plans below.
Typically, you can only enroll in a health plan during Open Enrollment Period (OEP). After OEP, you're locked into your health plan until the OEP in the next calendar year.
If you've had a major life change or qualifying life event (like the birth of a child, marriage or losing your health coverage), you may be granted an exception. Your qualifying event allows you to enroll in a new health plan during what's called a special enrollment period or SEP.
When applying for SEP, you will need to submit proof of the qualifying event with your application within 60 days.
Give our knowledgeable, licensed representatives a call at (855) 948-4427. They can guide you through the process and answer any questions you may have.
Print the following application, and send a signed copy to the address on the form with any supporting documentation.
You can submit a member change form. You can call us to request one at (800) 422-4641 (TTY: 711) or log in to the member portal to retrieve the form.
| Qualifying life event | Proof required |
|---|---|
| Marriage | Copy of your marriage certificate and proof of prior coverage within last 60 days for at least one spouse |
| Birth of a child | Copy of your child's birth certificate or hospital documentation |
| Adoption or placement for adoption of a child | Copy of the certificate of adoption or placement papers |
| Divorce, legal separation or death | Copy of divorce decree, legal separation papers or death certificate |
| Non-calendar year policy renewal | Copy of the renewal letter |
| Permanently moving to a new area that offers new qualified health plan options | Proof of prior coverage within the last 60 days, prior address and new or current address* |
| Newly gaining access to an Individual Coverage Health Reimbursement Account (ICHRA) or newly provided a Qualified Small Employer Health Reimbursement Account (QSEHRA) | Copy of document from Employer offering an ICHRA/QSEHRA with state date |
| Job loss | Proof of loss of coverage** |
| Loss of group health coverage | Proof of loss of coverage** |
| Loss of coverage due to divorce | Copy of divorce decree and proof of loss of coverage** |
| Loss of coverage due to death | Copy of death certificate and proof of loss of coverage** |
| Aging off parent's health plan | Proof of loss of coverage** |
| Losing eligibility for Medicaid or Children's Health Insurance Program (CHIP) | Copy of letter from Medicaid or CHIP |
| COBRA coverage ending | Proof of loss of coverage** |
| Other (considered on a case-by-case basis) | Give full details and date of event when applying. Additional proof may be required. |
Voluntarily canceling other health coverage or being terminated for not paying your premium is not considered loss of coverage. Neither is losing a plan that does not carry minimum essential coverage.
2026 HAP Individual Delta Dental Flyer
Need more information before you enroll? Download these helpful guides to individual and family plans and dental coverage.
2026 brochures | |
| Delta Dental Brochure (PDF) | |
| Vision Information (Link) |
*Unless you've moved from outside of the country.
**Voluntarily canceling other health coverage or being terminated for not paying premiums isn’t considered loss of coverage. Neither is losing a plan that doesn’t carry minimum essential coverage.